Provider Demographics
NPI:1013133651
Name:MANNING, DONNA WEST (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:WEST
Last Name:MANNING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 EL DORADO ST STE 5
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4624
Mailing Address - Country:US
Mailing Address - Phone:831-648-8569
Mailing Address - Fax:831-648-8467
Practice Address - Street 1:335 EL DORADO ST STE 5
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-4624
Practice Address - Country:US
Practice Address - Phone:831-648-8569
Practice Address - Fax:831-648-8467
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG748512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry